Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.
Read our methodology →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
5,355
Total Claims
$320K
Drug Cost
663
Beneficiaries
$482
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+460%
Opioid rate vs peers
51.5% vs 9.2% avg
-33%
Cost per patient vs peers
$482 vs $719 avg
-5%
Brand preference vs peers
6.3% vs 6.7% avg
🔎 Data Overview
Opioid rate is 460% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
51.5%
Opioid Rate
2,758
Opioid Claims
$203K
Opioid Cost
26.1%
Long-Acting Rate
This provider's opioid prescribing rate of 51.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 337 claims · $151K
Generic: 5,018 claims · $168K
Patient Profile
66
Avg Age
68%
Female
1.78
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About